| Breast lesion removal (open) (19120) |
$15,348.48 |
$25,580.80 |
3.9× |
| Shoulder arthroscopy with decompression (29826) |
$26,451.09 |
$44,085.15 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,542.42 |
$5,904.02 |
3.9× |
| Diagnostic colonoscopy (45378) |
$5,091.90 |
$8,486.50 |
5.5× |
| Colonoscopy with biopsy (45380) |
$9,639.54 |
$16,065.90 |
8.0× |
| Colonoscopy with lesion removal (45385) |
$8,031.60 |
$13,386 |
6.7× |
| Laparoscopic radical prostatectomy (55866) |
$66,229.05 |
$110,381.75 |
6.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,612.80 |
$2,688 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,743.11 |
$4,571.85 |
3.1× |
| CT head/brain without contrast (70450) |
$2,720.40 |
$4,534 |
26.0× |
| MRI brain without contrast (70551) |
$3,152.40 |
$5,254 |
13.2× |
| MRI brain with contrast (70552) |
$3,467.40 |
$5,779 |
9.9× |
| MRI brain without and with contrast (70553) |
$3,814.20 |
$6,357 |
10.9× |
| X-ray lower spine, 4+ views (72110) |
$930.60 |
$1,551 |
8.9× |
| MRI lumbar spine without contrast (72148) |
$3,853.20 |
$6,422 |
16.1× |
| CT pelvis with contrast (72193) |
$3,291 |
$5,485 |
18.7× |
| MRI lower-extremity joint without contrast (73721) |
$3,748.20 |
$6,247 |
15.7× |
| CT abdomen and pelvis with contrast (74177) |
$6,546 |
$10,910 |
18.7× |
| Ultrasound, abdomen complete (76700) |
$1,030.80 |
$1,718 |
9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$679.20 |
$1,132 |
6.5× |
| Ultrasound, transvaginal (76830) |
$945 |
$1,575 |
9.0× |
| Mammography, one breast (diagnostic) (77065) |
$125.40 |
$209 |
1.5× |
| Mammography, both breasts (diagnostic) (77066) |
$156 |
$260 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$89.10 |
$148.50 |
1.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$51.60 |
$86 |
14.8× |
| Left heart catheterization (93452) |
$11,767.20 |
$19,612 |
3.6× |
| Sleep study (attended polysomnography) (95810) |
$7,130.40 |
$11,884 |
8.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$158.40 |
$264 |
5.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$124.80 |
$208 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$217.80 |
$363 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$240.60 |
$401 |
1.8× |